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General NPI Number Information
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NPI Number | 1720058274
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Entity Type | Individual
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Provider Name | DAVID WILLIAM NIEBUHR MD, MPH, MSC
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 503 ROBERT GRANT AVE WALTER REED ARMY INST OF RESEARCH, DIV OF PREV MED
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City | SILVER SPRING
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State | MD
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Zip | 20910-7500
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Country | US
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Telephone | 301-319-9833
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Fax | 301-319-9104
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Provider Business Mailing Address
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Address Line | 19524 DUBARRY DR
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City | BROOKEVILLE
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State | MD
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Zip | 20833-2616
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Country | US
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Telephone | 301-319-9833
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Fax | 301-319-9104
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101042399
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 0101042399
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License Number State | VA
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